Samantha Kissig, | |
22001 Fairmount Blvd, University Heights, OH 44118-4819 | |
(440) 596-9862 | |
Not Available |
Full Name | Samantha Kissig |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 22001 Fairmount Blvd, University Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558710087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Crossroads Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356303911 PECOS PAC ID: 9638440241 Enrollment ID: O20170731003569 |
Mailing Address | Practice Location Address |
---|---|
Samantha Kissig, 29328 White Rd, Willoughby Hills, OH 44092-1453 Ph: (440) 596-9862 | Samantha Kissig, 22001 Fairmount Blvd, University Heights, OH 44118-4819 Ph: (440) 596-9862 |
Mrs. Sarah R Newman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2519 Laurelhurst Rd, University Heights, OH 44118 Phone: 216-403-2342 | |
Alan Gecht, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2475 Channing Rd, University Heights, OH 44118 Phone: 000-000-0000 Fax: 608-287-2438 | |
Sholom Stern, Counselor Medicare: Medicare Enrolled Practice Location: 2548 Milton Rd, University Heights, OH 44118 Phone: 216-220-5536 | |
Ivan Glagola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20620 John Carroll Blvd, University Heights, OH 44118 Phone: 440-622-7444 | |
Miyoshi Anita Levy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3834 Faversham Rd, University Heights, OH 44118 Phone: 330-926-6126 | |
Yael Vineburg, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4405 Silsby Road, University Heights, OH 44118 Phone: 216-292-3999 | |
Miss Amanda Meade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, University Heights, OH 44118 Phone: 216-320-8369 |